Nocerino, Logan Nicholas

Nocerino, Logan Nicholas is an individual health care provider with primary practice located at 111 W Cedar Ln Ste A , Payson AZ 85541-5417. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Nocerino, Logan Nicholas can be contacted via phone (623) 512-4190.

Contact Information

Primary practice address
111 W Cedar Ln Ste A Payson AZ 85541-5417
Phone: (623) 512-4190
Fax: (623) 512-4194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 6253 Arizona

Profile Details

NPI number 1851763619
LBN Legal business name Nocerino, Logan Nicholas
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2015
Last updated Apr 15th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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